Individual
TAYLER NICHOL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
340 DARDANELLI LN STE 10, LOS GATOS, CA 95032-1418
(408) 412-8100
(408) 418-8499
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA61491018
WA
363AS0400X
Surgical Physician Assistant
Primary
65300
CA
Other
Enumeration date
08/28/2023
Last updated
02/03/2025
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